Rivera, Derio Marc

Rivera, Derio Marc is an sole proprietor health care provider with primary practice located at 18 Wild Rose Rd , Westport CT 06880-2551. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Rivera, Derio Marc can be contacted via phone (914) 319-8518.

Contact Information

Primary practice address
18 Wild Rose Rd Westport CT 06880-2551
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4956 Connecticut

Profile Details

NPI number 1407426919
LBN Legal business name Rivera, Derio Marc
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2021
Last updated Jun 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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